MSC Application Form: Fall/Winter 2018-2019
Thank you for your interest in the prospect of living in Christian community at the Menno Simons Centre! The opportunity for shared communal life is a tremendous privilege that we welcome you to explore with us. Please remember to save your essay answers in a document on your own computer to prevent loss before submitting. We look forward to reviewing your application!
Privacy Policy
Personal data is collected in accordance with the Privacy Policy of the Pacific Centre for Discipleship Association, which operates the Menno Simons Centre (see http://pcda.bc.ca/privacy for details).
Personal Information
Name (first and last): *
Your answer
Email address: *
Your answer
Home phone: *
Your answer
Cell phone:
Your answer
Current postal address: *
House #, city, province, postal code, and country if necessary
Your answer
Permanent postal address (if different from above):
Your answer
Birthdate: *
MM
/
DD
/
YYYY
Gender: *
Which Christian denomination do you identify with most? *
Your answer
How did you hear about us? *
Your answer
Institution you will attend: *
Faculty/major: *
Your answer
Program Year:
Previous post-secondary institution(s):
Your answer
Previous accommodation(s):
Your answer
Medical/physical conditions or disabilities we need to be aware of:
Your answer
Dietary restrictions:
Any allergies? Are any so severe that you can't be around a certain food? Are you a vegetarian? etc. Please note that, with regard to Wednesday common meals, we accommodate restrictions due to health hazards and moral restrictions. We do not accommodate aversions to particular flavors you don't care for. Thanks for understanding; we are cooking for 25!
Your answer
Emergency contact person and phone number:
Your answer
Accommodation requested: *
Subject to availability. Room rates can be found at http://pcda.bc.ca/msc-residence/apply-to-live-here/. Upon acceptance, a $250.00 damage/holding deposit will required to confirm your acceptance.
Required
Character Reference #1
1.) Character reference's name: *
Your answer
1.) Occupation: *
Your answer
1.) Relationship to you: *
Your answer
1.) Telephone number: *
Your answer
Character Reference #2
2.) Character reference's name: *
Your answer
2.) Occupation: *
Your answer
2.) Relationship to you: *
Your answer
2.) Email address: *
Your answer
2.) Telephone number: *
Your answer
Character and Purpose Statements
Statement of character: *
In approximately 300-500 words, please 1) Describe your personal character; 2) Share some highlights of your spiritual journey; 3) Share your hobbies and interests with us; and 4) Share what you have done since high school (if you are not currently attending).
Your answer
Statement of purpose: *
In approximately 300-500 words, please answer the following questions: 1) Why are you choosing to attend the university or college you have decided upon? 2) What are your future vocational goals and interests? 3) Why do you want to live in the Menno Simons Centre and how do you see yourself benefiting from and contributing to the community here?
Your answer
Expectations
Community expectations: *
Staying at the Menno Simons Centre involves living in close proximity with others. In addition, there are community meals, retreats and shared cleaning tasks in which you will be expected to participate. The community atmosphere is great to live in, but it depends on the involvement of all residents. Since the Menno Simons Centre is an intentional Christian community house, we expect you to: (1) contribute ONE HOUR OF LABOUR per week, (2) live and pay rent at the Centre for the ENTIRETY OF THE ACADEMIC YEAR (September 1 to April 30), (3) REFRAIN from the use of alcohol, tobacco, drugs and involvement in behaviour detrimental to Christian community on MSC premises. Are you prepared to commit to these expectations and make shifts in your schedule accordingly?
Required
Common meal attendance: *
I will arrange my schedule so that I can fully participate in sharing a meal at 7:00pm every Wednesday evening and assist with the preparation of the meal once per term and the clean-up once per month. (Remember this when you are registering for courses!)
Required
Small group participation: *
I will arrange my schedule so that I can fully participate in a small group Bible study every other Monday night from 8pm to 10pm. (Remember this when you are registering for courses!)
Required
Retreat participation: *
I will arrange my schedule so that I can fully participate in the Menno Simons Centre retreats: Fall Retreat: 4pm on Friday, September 8th - 2pm on Sunday, September 9th, 2018; and Winter Retreat: 4pm January 4th - 4pm January 6th, 2019.
Required
Monthly worship participation: *
I will arrange my schedule so that I can fully participate in the monthly Sunday worship nights ("Menno Vespers"), held from 9pm-10pm on the first Sunday of the following months: October, November, February, March, April
Required
Signature
In signing the following, I acknowledge that (a) I have accurately answered all of the questions, (b) I consent to the Menno Simons Centre contacting the character references named in this application, and (c) I have paid or will immediately pay my non-refundable $50.00 application fee. *
Please type your name in CAPITAL letters to represent a signature
Your answer
Newsletter:
Would you like to receive our newsletter, sent out 2-4 times per year?
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